CBAHI National Standards for Ambulatory Care Centers
CBAHI National Standards for Ambulatory Care Centers – First Edition 2019, Effective 1 January 2020. 11 chapters, 133 standards, 594 sub-standards (7 core).
Overview
CBAHI National Standards for Ambulatory Care Centers – First Edition 2019, Effective 1 January 2020. 11 chapters, 133 standards, 594 sub-standards (7 core).
Framework Domains (11)
This framework is organized into 11 domain(s) covering 133 controls total.
Domain 1: LD - Leadership of the Organization
For any ambulatory care center, quality and patient safety depend on effective leadership. The leadership chapter addresses organizational structure, governance, roles and responsibilities of leaders, human resource management, patient and family rights, and quality improvement and patient safety.
Domain 2: PC - Provision of Care
The provision of care chapter addresses the process of patient registration, patient assessment and reassessment, plan of care, consultations, patient's and family's education and participation in the treatment plan, cardiopulmonary resuscitation process, transfer and referral, and emergency care.
Domain 3: LB - Laboratory Services
The assessment/reassessment of patients to determine the proper diagnosis, the course of treatment, and the evaluation of the treatment plan for future decisions may require laboratory services. To meet the patient's needs, the center should either provide basic laboratory services or outsource them to a recognized laboratory through a formal contracting process. This chapter addresses physical structure, staffing, safety program, specimen collection, equipment management program, labeling, quality management program, and point of care testing.
Domain 4: RD - Radiology Services
The assessment/reassessment of patients to determine the proper diagnosis, course of treatment, and evaluation of the treatment plan for future decisions may require radiology services. To meet patient needs, the center should offer radiology services or outsource them through a formal agreement with a recognized radiology center. If the center provides radiology services, the services are expected to meet the necessary national guidelines on radiation safety. This chapter addresses staffing, radiation safety program, and equipment maintenance program.
Domain 5: DN - Dental Services
Dental clinics pose a risk to patients that is different from the risks posed in other clinics in the center. This chapter addresses the peculiar dental standards that mitigate such risk, including staffing requirements, patients' assessment and treatment planning, patients' and families' education, medical records documentation requirements, and infection control requirements.
Domain 6: MM - Medication Management
The standards in this chapter focus on medication management as it applies to outpatient prescriptions, and medication use in the day procedure unit, the emergency room, and owned outpatient pharmacies. The standards focus on scope of medication services, safe storage of medications, safe medication preparation, review of prescriptions for appropriateness, handling of expired medications, management of narcotics and psychotropic medications, and management of medication errors and adverse drug reactions.
Domain 7: MOI - Management of Information
Information management is a cornerstone of patient care and the decision support process by center leaders. Center leaders are required to design and implement an information management plan that defines managing the information required by governmental and external agents, managing internal information requirements, maintaining the security and confidentiality of information, retaining records, and documenting and completing patients' unique medical record.
Domain 8: IPC - Infection Prevention and Control
The ambulatory care center requires processes to support the prevention and control of infection that might be acquired or transmitted by patients, staff, and visitors while in the center. These processes reduce the risk or spread of infection and ensure that care is provided in a clean, sterile environment. To ensure staff and patient safety, infection prevention and control requires an effective center-wide infection prevention and control program that identifies, reduces, and eliminates infection risks.
Domain 9: FMS - Facility Management and Safety
A safe, functional, and effective environment for patients, staff, and other individuals is crucial to prevent or minimize risks in the environment of care. The center leadership must provide all necessary support and resources to improve safety in the workplace in alignment with regulatory requirements. The center must maintain plans for managing the safety of the environment and must implement these plans. The center must collect and analyze data to determine the effectiveness of the plans and facilitate continuous quality improvement.
Domain 10: DPU - Day Procedure Unit
Ambulatory care centers may have a day procedure unit where all day procedures are performed under local anesthesia, sedation analgesia, or general anesthesia. This chapter focuses on the standards required to safely manage patients in the day procedure unit, utilizing evidence-based criteria.
Domain 11: DA - Dermatology & Aesthetics Medicine
Although dermatology and aesthetics medicine are recognized scopes of medical services that can be covered by the other chapters in this standards' manual, yet their wide spread practices in the ambulatory arena and their specific risky procedures warrants a separate chapter. The chapter, therefore, focuses on specific human resources and structural requirements as well as clinical risk management requirements.
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